When You Are Experiencing Abnormal Bleeding

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Menstrual periods are usually a pain, which makes abnormal bleeding that much worse. Uterine bleeding in these situations is usually considered to be abnormal:

  • Bleeding or spotting between periods
  • Bleeding or spotting after sex
  • Heavy bleeding during your period that soaks through one or more tampons or pads every hour for several hours in a row
  • Menstrual cycles that are longer than 38 days or shorter than 24 days
  • Irregular periods where your cycle length varies by more than 7-9 days from month to month
  • Bleeding after menopause

Abnormal bleeding is more common in girls who are first starting to have periods (typically around ages 9-14) or women going into perimenopause (typically in the mid-40s) when periods tend to become irregular. Girls and women in both these groups may skip periods, have more or fewer days between periods from month to month, and have flows that vary between heavier and lighter from month to month.

Causes of Abnormal Bleeding

If your age puts you between these two groups and you are experiencing abnormal bleeding, there are several conditions that may be causing it, including:

  • Problems with ovulation
  • Uterine fibroids or polyps
  • Endometriosis
  • A bleeding disorder that keeps your blood from clotting
  • Problems linked to your birth control method, such as an IUD or birth control pills
  • Miscarriage
  • Ectopic pregnancy
  • Certain types of cancer, such as cancer of the uterus

Making a Diagnosis

 If you are experiencing abnormal bleeding, it’s best to make an appointment with your doctor who will identify the cause and work with you to find the best treatment. Tests your doctor may perform to help make a diagnosis include:

  • Physical exam
  • Blood tests to check your blood count and hormone levels, as well as to rule out certain blood diseases
  • Pregnancy test
  • Tests for sexually transmitted infections (STIs)
  • Ultrasound exam
  • Hysteroscopy, which allows your doctor to see the inside of your uterus

Treatments

There are a number of different treatments that can help control abnormal bleeding. Your doctor will likely try one or a combination of medications first depending on your age and your symptoms. If medication doesn’t work, your doctor may recommend a surgical procedure. The procedure will again depend on your age and your symptoms, as well as whether you want to have children or more children.

 

The first step to controlling abnormal bleeding is to see your doctor so you can get a diagnosis. Contact us to schedule an appointment today.

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Cheyenne, WY 82001

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Phone: 307-637-7700


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